Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERT J LAGERQUIST, CHEMICAL DEPENDENCY
Active Sole ProprietorMR. ROBERT J LAGERQUIST, CHEMICAL DEPENDENCY is a Addiction (Substance Use Disorder) Counselor healthcare provider located in TAHOLAH, Washington. NPI 1699911875 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · TAHOLAH, WA
Registration Details
- NPI Number
- 1699911875
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2008 (17.634420553694 yrs)
- Last Updated
- Dec 18, 2008
- License
-
CP00004415 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1505 KLA-OOK-WA STREETTAHOLAH, WA, 985870219Browse WA providers · Browse ZIP 98587
- Phone
- 3602764405
- Fax
- 3602764474
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in TAHOLAH, WA
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID A HAGEN | CHEMICAL DEPENDENCY | 1760628937 |
| ERNIE V SANCHEZ | — | 1962771782 |
| MISHELLE JACKSON | SUDPT | 1053192377 |
| ERICA SUSANNA JACKSON | SUDP/T | 1558212605 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.